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Malleolar Fractures and Dislocations of the Ankle

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Book cover Traumatic Disorders of the Ankle
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Abstract

Ankle injuries are usually the result of indirect or torsional violence [5,31,32,41] which distorts the normal relationship between the talus and the tibiofibular mortise. Most commonly, the foot is fixed and the injury is sustained as a result of the tibiofibular mortise moving against the talus [77,83]. Most authors, however, have found it more convenient to speak in terms of motion of the talus with respect to the tibiofibular mortise [44]; this custom shall be observed in this text.

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References

  1. Alldredge RH: Diastasis of the distal tibiofibular joint and associated lesions. JAMA

    Google Scholar 

  2. 2136, 1940.

    Google Scholar 

  3. Arimoto HK, Forrester DM: Classification of ankle fractures: an algorithm. Am J Roentgenol 135: 1057, 1980.

    CAS  Google Scholar 

  4. Ashhurst APC, Bromer RS: Classification and mechanism of fractures of the leg bones involving the ankle. AMA Arch Surg 4: 51, 1922.

    Google Scholar 

  5. Bistrom 0: Conservative treatment of severe ankle fractures. A clinical and follow-up study. Acta Chir Scand (Suppl) 168: 1, 1952.

    Google Scholar 

  6. Bohler L: The Treatment of Fractures, 5th ed. New York, Grone & Stratton, 1956.

    Google Scholar 

  7. Bolin H: The fibula and its relationship to the tibia and talus in injuries of the ankle due to forced external rotation. Acta Radiol 56: 439, 1961.

    Article  PubMed  CAS  Google Scholar 

  8. Bonnin JG: Injuries to the Ankle. New York, Grune & Stratton, 1950.

    Google Scholar 

  9. Bonnin JG: Injury to the ligaments of the ankle. J. Bone Joint Surg 47B: 609, 1965.

    CAS  Google Scholar 

  10. Bosworth DM: Fracture-dislocation of the ankle with fixed displacement of the fibula behind the tibia. J Bone Joint Surg 29: 130, 1947.

    PubMed  CAS  Google Scholar 

  11. Burns BH: Diastasis of the inferior tibio-fibular joint. Proc Roy Soc Med 36: 330, 1943.

    PubMed  CAS  Google Scholar 

  12. Burwell HN, Charnley D: Treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement. J Bone Joint Surg 47B: 634, 1965.

    CAS  Google Scholar 

  13. Cabrera C, Simonovich S: Major fractures of the ankle and their sequelae. Ed: J. Delchef, R de Marneffe, E Vander Elst. Proceedings of the 12th Congress of the International Society of Orthopaedic Surgery and Traumatology, TelAviv, Oct 9-12 1972.Excerpta Medica, Amsterdam, 1973.

    Google Scholar 

  14. Cave F (Ed): Ankle Injuries. Fractures and Other Injuries. Chicago, Year Book Medical, 1958.

    Google Scholar 

  15. Cedell CA: Supination-outward rotation injuries of the ankle. Acta Orthop Scand (Suppl) 110:1, 1967.

    Google Scholar 

  16. Cedell CA: Ankle lesions. Acta Orthop Scand 46: 425, 1975.

    CAS  Google Scholar 

  17. Close R: Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg 38A: 761, 1956.

    PubMed  Google Scholar 

  18. Colton CL: Fracture-diastasis of the inferior tibio-fibular joint. J Bone Joint Surg 50B: 830, 1968.

    CAS  Google Scholar 

  19. Cooper AP: On dislocations of the ankle joint. Clin Orthop 42: 3, 1965.

    Google Scholar 

  20. Cotton FJ: A new type of ankle fracture. JAMA 64: 318, 1915.

    Google Scholar 

  21. Cox FJ, Laxson WW: Fractures about the ankle joint. Am J Surg 83: 674, 1952.

    Article  PubMed  CAS  Google Scholar 

  22. Dabezies E, D'Ambrosia R, Shoji H: Classification and treatment of ankle fractures. Orthopedics 1: 365, 1978.

    Google Scholar 

  23. D'Anca AF: Lateral rotatory dislocation of the ankle without fracture. A case report. J Bone Joint Surg 52A: 1643, 1970.

    PubMed  Google Scholar 

  24. DeSouza Dias L, Foerster TP: Traumatic lesions of the ankle joint. The supination-external rotation mechanism. Clin Orthop ReI Res 100: 219, 1974.

    Google Scholar 

  25. Dupuytren G: On the Injuries and Diseases of Bones. Translated by F. LeGros Clark. London, The Syndenham Society, 1847.

    Google Scholar 

  26. Dupuytren G: Of Fractures of the Lower Extremity of Fibula and Luxations of the Foot. Med Classics 4: 151, 1939.

    Google Scholar 

  27. Ellison AE: A brief review of the literature on the ankle joint. Am J Sports Med 5: 226, 1977.

    Article  PubMed  CAS  Google Scholar 

  28. Fahey JJ, Schlenker LT, Stauffer RC: Fracture dislocation of the ankle with fixed displacement of the fibula behind the tibia. Am J Roetgenol Radium Ther Nucl Med 76: 1102, 1956.

    CAS  Google Scholar 

  29. Ferreira AP, DeWet IS, Dommisse GF: Fractures and dislocations of the ankle joint. S Afr Med J 54: 1095, 1978.

    PubMed  CAS  Google Scholar 

  30. Golterman AFL: Diagnosis and treatment of tibiofibular diastasis. Arch Chir Neerl 16: 185, 1964.

    PubMed  CAS  Google Scholar 

  31. Grath G: Widening of the ankle mortise. A clinical and experimental study. Acta Chir Scand (Suppl) 263: 1, 1960.

    Google Scholar 

  32. Harvey JP Jr: Fractures of the ankle. A clinical survey of 181 cases. Clin Orthop 42: 57, 1965.

    PubMed  Google Scholar 

  33. Henderson MS: Fractures of the ankle. Wisc Med J 31: 684, 1932.

    Google Scholar 

  34. Henderson MS, Stuck WG: Fractures of the ankle. Recent and old. J Bone Joint Surg 15: 882, 1933.

    Google Scholar 

  35. Hirsch C, Lewis J: Experimental ankle-joint fractures. Acta Orthop Scand 36: 408, 1965.

    Article  PubMed  CAS  Google Scholar 

  36. Hughes J: The medial malleolus in ankle fractures. Orthop Clin North Am, 11: 649, 1980.

    PubMed  CAS  Google Scholar 

  37. Hughes JL, Weber H, Willenegger H, Kuner EH: Evaluation of ankle fractures. Non-operative and operative treatment. Clin Orthop ReI Res 138: 111, 1979.

    Google Scholar 

  38. Hughes SPF: An historical review of fractures involving the ankle joint. Mayo Clin Proc 50: 611, 1975.

    PubMed  CAS  Google Scholar 

  39. Hughes SPF: External rotational injury of the ankle joint with displacement of the talus. Ann Roy Coil Surg 59: 61, 1977.

    CAS  Google Scholar 

  40. Iselin M, deVellis H: La primaute du perone dans les fractures' du cou-de-pied. Mem Acad Chir 87: 399, 1961.

    Google Scholar 

  41. Iergesen F: Open reduction of fractures and dislocations of the ankle. Am I Surg 98: 136, 1959.

    Article  Google Scholar 

  42. Key lA, Conwell HE: Injuries in the Region of the Ankle. The Management of Fractures, Dislocations and Sprains, 6th ed. St. Louis, Mosby, 1956.

    Google Scholar 

  43. Kleiger B: The diagnosis and treatment of traumatic lateral ankle instability. NY State I Med 54: 2573, 1954.

    CAS  Google Scholar 

  44. Kleiger B: Treatment of oblique fractures of the fibula. I Bone Ioint Surg 43: 969, 1961.

    Google Scholar 

  45. Kleiger B: Mechanisms of ankle injury. Orthop Clin North Am 5: 127, 1974.

    PubMed  CAS  Google Scholar 

  46. Klossner 0: Late results of operative and nonoperative treatment of severe ankle fractures. Acta Chir Scand (Suppl) 293: 1, 1962.

    Google Scholar 

  47. Kristensen T: Treatment of malleolar fractures according to Lauge-Hansen's method. Preliminary results. Acta Chir Scand 97: 362, 1949.

    PubMed  CAS  Google Scholar 

  48. Kristensen T: Fractures of the ankle. VI. Follow- Up studies. AMA Arch Surg 73: 112, 1956.

    PubMed  CAS  Google Scholar 

  49. Lane WA: The operative treatment of simple fractures. Surg Gynecol Obstet 8: 344, 1909.

    Google Scholar 

  50. Lauge-Hansen N: Fractures of the ankle. Arch Surg 56: 259, 1948.

    Google Scholar 

  51. Lauge-Hansen N: Fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 60: 957, 1950.

    PubMed  CAS  Google Scholar 

  52. Lauge-Hansen N: Fractures of the ankle. IV. Clinical use of the genetic roentgen diagnosis and genetic reduction. Arch Surg 64: 488, 1952.

    CAS  Google Scholar 

  53. Lauge-Hansen N: Fractures of the ankle. V. Pronation-dorsiflexion fracture. Arch Surg 67: 813, 1953.

    CAS  Google Scholar 

  54. Lauge-Hansen N: Fractures of the ankle. III. Genetic roentgenologic diagnosis of fractures of the ankle. Am J Roentgenol 71: 456, 1954.

    CAS  Google Scholar 

  55. Lewin P: Fractures of the Bones of the Foot and Ankle. Philadelphia, Lea & Febiger, 1959.

    Google Scholar 

  56. Lewis IL: The effect of ankle-injury forces. I Bone Ioint Surg 46A: 1380, 1964.

    Google Scholar 

  57. Lindsjo U: Operative treatment of ankle fractures. Acta Orthop Scand (Suppl) 189: 1, 1981.

    CAS  Google Scholar 

  58. Lovell ES: An unusual rotatory injury of the ankle. I Bone Ioint Surg 50A: 163, 1968.

    Google Scholar 

  59. MacKinnon AP: Fracture of the lower articular surface of the tibia in fracture dislocation of the ankle. J Bone Joint Surg 10:352, 1928. 59. Magnusson R: On the late results in non-operated cases of malleolar fractures. I. Fractures by external rotation. Acta Chir Scand (Suppl) 84:1, 1944. 60. Magnusson R: Ligament injuries of the ankle joint. Acta Orthop Scand 36: 317, 1965.

    Google Scholar 

  60. Maisonneuve MJG: Fractures du perone, Arch Gen Med 1: 165, 1840.

    Google Scholar 

  61. MaIka IS, Taillard W: Results of non-operative and operative treatment of fractures of the ankle. Clin Orthop ReI Res 67:159, 1969.

    Google Scholar 

  62. Mast JW, Teipner A: A reproducible approach to the internal fixation of adult ankle fractures. Rationale, technique, and early results. Orthop Clin North Am 11: 661, 1980.

    PubMed  CAS  Google Scholar 

  63. Mayer PJ, Evarts CMcC: Fracture-dislocation of ankle with posterior entrapment of the fibula behind the tibia. Recognition and management. Bone Joint Surg 6OA: 320, 1978.

    Google Scholar 

  64. McDaniel WJ, Wilson FC: Trimalleolar fractures of the ankle. An end result study. Clin Orthop ReI Res 122: 37, 1977.

    Google Scholar 

  65. McLaughlin HL: Trauma. Philadelphia, Saunders, 1960.

    Google Scholar 

  66. Meyers MH: Fracture about the ankle joint with fixed displacement of the proximal fragment of the fibula behind the tibia. J Bone Joint Surg 39A: 441, 1957.

    PubMed  Google Scholar 

  67. Meyers MH: Fracture about the ankle joint with fixed displacement of the proximal fragment of the fibula behind the tibia. Clin Orthop ReI Res 42: 67, 1965.

    CAS  Google Scholar 

  68. Monk CJE: Injuries of the tibiofibular ligaments. J Bone Joint Surg 51: 330, 1969.

    CAS  Google Scholar 

  69. MullerME, Allgower M, Schneider R, Willenegger H: Manual of Internal Fixation. New York, Springer-Verlag, 1979.

    Google Scholar 

  70. Neer CS II: Injuries of the ankle joint. Evaluation. Conn State Med I 17: 580, 1953.

    CAS  Google Scholar 

  71. Neufeld AJ: Ankle joint fractures and their treatment. Clin Orthop 42: 91, 1965.

    PubMed  CAS  Google Scholar 

  72. Nystrom G: A contribution to the treatment of fractures of the posterior border of the tibia by malleolar fractures. Acta Radiol 25: 672, 1944.

    Article  Google Scholar 

  73. Olerud S: Subluxation of the ankle without fracture of the fibula. A case report. J Bone Joint Surg 53A: 594, 1971.

    PubMed  CAS  Google Scholar 

  74. Pankovich AM: Fractures of the fibula proximal to the distal tibiofibular syndesmosis. J Bone Joint Surg 6OA: 221, 1978.

    Google Scholar 

  75. Pankovich AM: Fractures of the fibula at the distal tibiofibular syndesmosis. Clin Orthop ReI Res 143: 138, 1979.

    Google Scholar 

  76. Pankovich AM: Adult ankle fractures. JCE Orthop 7: 17, 1979.

    Article  Google Scholar 

  77. Phillips RS, Balmer GA, Monk CJE: The external rotation fracture of the fibular malleolus. Br I Surg 56: 55, 1969.

    Google Scholar 

  78. Phillips WA, Spiegel PG: Evaluation of ankle fractures, non-operative vs. operative. Clin Orthop ReI Res 138: 17, 1979.

    Google Scholar 

  79. Platt H: Introduction to a discussion on fractures in the neighborhood of the ankle-joint. Lancet 1: 33, 1926.

    Article  Google Scholar 

  80. Pott P: Some Few General Remarks on Fractures and Dislocations. London, Hawes, Clarke and Collins, 1768. Reprinted in Med Classics 1: 329, 1936.

    Google Scholar 

  81. Purvis GD: The unstable oblique distal fibular fracture. Clin Orthop ReI Res 92: 330, 1973.

    Article  Google Scholar 

  82. Quigley TB: Analysis and treatment of ankle injuries produced by rotatory, abduction and adduction forces. Instructional Course Lectures Am Acad Orthop Surg 19: 172, 1970.

    Google Scholar 

  83. Rang M: Ant4010gy of Orthopaedics. Edinburgh, Churchill Livingstone, 1966.

    Google Scholar 

  84. Riitt A: Surgery of the Lower Leg and Foot. Translated by G. Stiasny. Philadelphia, Saunders, 1980.

    Google Scholar 

  85. Sarkisian JS, Cody GW: Closed treatment of ankle fractures. A new criterion for evaluation-a review of 250 cases. J Trauma 16: 323, 1976.

    Article  PubMed  CAS  Google Scholar 

  86. Schatzker J, McBroom R, Dzioba R: Irreducible fracture dislocation of the ankle due to posterior dislocation of the fibula. J Trauma 17: 397, 1977.

    Article  PubMed  CAS  Google Scholar 

  87. Sisk TD: In Edmonson AP, Crenshaw AH (eds): Campbell's Operative Orthopaedics, 6th ed. St. Louis, Mosby, 1980.

    Google Scholar 

  88. Solonen KA, Lauttamus L: Treatment of malleolar fractures. Acta Orthop Scand 36: 321, 1965.

    PubMed  CAS  Google Scholar 

  89. Solonen KA, Lauttamus L: Operative treatment of ankle fractures. Acta Orthop Scand 39: 223, 1968.

    Article  PubMed  CAS  Google Scholar 

  90. Staples OS: Injuries to the medial ligaments of the ankle. J Bone Joint Surg 42A: 1287, 1960.

    Google Scholar 

  91. Staples OS: Ligamentous injuries of the ankle joint. Clin Orthop 42: 21, 1965.

    PubMed  CAS  Google Scholar 

  92. Stimson LA: Pott's fracture at the ankle. NY Med J 55: 701, 1892.

    Google Scholar 

  93. Tanton J: Fractures du Membre Inferieur. Librairie J.-B. Bailliere et Fils Paris, 1916.

    Google Scholar 

  94. Vasli S: Operative treatment of ankle fractures. Acta Chir Scand (Suppl) 226: 1, 1957.

    CAS  Google Scholar 

  95. Wagstaffe WW: An unusual form of fracture of the fibula. St Thomas Hosp Rep 6: 43, 1875.

    Google Scholar 

  96. Walheim T: Intra-articular malleolar fractures. A survey. Acta Chir Scand 79: 166, 1937.

    Google Scholar 

  97. Walsh WM, Hughston JC: Unstable ankle fractures in athletes. Am J Sports Med 4: 173, 1976.

    Article  PubMed  CAS  Google Scholar 

  98. Watson-Jones R: Fractures and Other Joint Injuries, 4th ed. Baltimore, Williams & Wilkins, 1955.

    Google Scholar 

  99. Weber BG: Die Verletzungen des oberenSprunggelenkes. In: Aktuelle Probleme in der Chirurgie. Bern, Verlag Hans Huber, 1966.

    Google Scholar 

  100. Wilson FC Jr, Skilbred LA: Long-term results in the treatment of displaced bimalleolar fractures. J Bone Joint Surg 48A: 1065, 1966.

    PubMed  Google Scholar 

  101. Woods RS: Irreducible dislocation of the anklejoint. Br J Surg 29: 359, 1942.

    Article  Google Scholar 

  102. Yde J: The Lauge-Hansen classification of malleolar fractures. Acta Orthop Scand 51: 181, 1980.

    Article  PubMed  CAS  Google Scholar 

  103. Yde J, Kristensen KD: Ankle fractures. Supination-eversion fractures stage II. Primary and late results of operative and non-operative treatment. Acta Orthop Scand 51: 695, 1980.

    Article  PubMed  CAS  Google Scholar 

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Hamilton, W.C. (1984). Malleolar Fractures and Dislocations of the Ankle. In: Hamilton, W.C. (eds) Traumatic Disorders of the Ankle. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8233-1_6

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  • DOI: https://doi.org/10.1007/978-1-4613-8233-1_6

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